Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,570.88 / $5,370.32	Professional		$3,388.44	$4,570.88	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,589.25 / $12,589.25	Facility		$6,918.31	$12,589.25	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $8,709.64	Professional		$5,370.32	$6,918.31	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $28,183.83	Facility		$2,884.03	$2,951.21	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $8,511.38 / $13,489.63	Professional		$2,884.03	$8,511.38	$13,489.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,365.16 / $6,456.54	Facility		$676.08	$4,365.16	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,897.79 / $30,199.52	Facility		$741.31	$4,897.79	$30,199.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $5,128.61	Professional		$2,398.83	$3,235.94	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $537.03 / $5,128.61	Professional		$54.95	$537.03	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,737.80	Professional		$794.33	$1,318.26	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $10,715.19 / $31,622.78	Facility		$2,884.03	$10,715.19	$31,622.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,884.03 / $2,951.21	Professional		$478.63	$2,884.03	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,454.71 / $4,570.88	Facility		$275.42	$2,454.71	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $5,754.40	Professional		$2,290.87	$3,235.94	$5,754.40